Department Workshop Request - JHU Human Resources

Planning a Benefits & Worklife Workshop for Your Department

Please complete this form if you would like to request a workshop from the Office of Benefits & Worklife. Please complete a separate form for each workshop or class requested, at least one month in advance.

*This form should not be used for crisis support.*

For crisis response, contact the Employee Assistance Program (JHEAP) directly at 888-978-1262 or email at [email protected].

Requester Information

Name*

First Last

Department*

Phone*

Email*

Event Information

Event Name*

Event Address

City State Zip

Event Date: ( If you do not have a specific date please list preferred month, day of the week and time of day)*

Start Time

End Time

Number of Attendees Expected

Choose one workshop topic:*

JHU Benefits Overview
Family and Caregiving Programs
Mental Health / Johns Hopkins Employee Assistance Program (JHEAP)
JHU Retirement Planning
JHU Well-being Program
JHU Work Life Programs

Please complete a separate form for each workshop requested.

Event Description*

Please provide reason for request and as many details as possible. List onsite contact and phone if different from above.

Event Details

Who is attending?*

Staff
Managers/Supervisors
Faculty
Support Staff
JHU Employees
JHH/JHHS Employees
Post-doctoral Fellows
House Staff

Type of Event*

Staff Meeting
In-service Training
Retreat
Other

Please specify "Other" if selected

Delivery Format*

In-person
Virtual
Hybrid

If in-person, provide parking details and any security/front desk check in instructions:

If virtual please select below:

We will provide the webinar link.
We would like the presenter to provide the webinar link.

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